A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose...
taxonomy 103TH0100X
Identifiers
Type
Value
Notes
01 (GA)
LPC01234
LPC
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
HIM.,Inc.
Type code 3recorded 2025-03-27
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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